| Regimental number | 19041 |
| Place of birth | Gunnedah New South Wales |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E Richardson, 113 Albermarle Street, Newtown, New South Wales |
| Enlistment date | 24 April 1917 |
| Date of enlistment from Nominal Roll | 25 April 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |